Search › Ohio › 101YA0400X
Kellen Hicks, LICDC-CS
NPI 1992234488 · on the registry since 2017 · sole proprietor
Practice
- Address
- 8120 Garnet Dr
Dayton, OH 45458 - Phone
- (513) 834-7063
- Organisation at this address
- Prime Health Medical Services
Prime Family Health Center Of Dayton LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 70
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-05-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio